Quality Assurance Coordinator

3 weeks ago

Augusta, United States ABLE Kids Services Full time
Job DescriptionJob Description

Quality Assurance Coordinator - Augusta GA

Are you passionate about making a profound impact on the lives of individuals with autism? Do you have a strong desire to use your skills and experience in Quality Assurance Auditing to support a company that works to empower individuals to reach their full potential?

We have put together a thoughtful benefits package and focus on providing a work-life balance for our ABLE Kids family members. ABLE Kids believes in the importance of loving where you work and enjoying the work you do for the families we serve.

Responsibilities include:

  • Review eligibility weekly (insurance approvals, changes, authorization updates).
  • Review authorization approvals vs. weekly hours weekly (ensure no changes or adjust hours to appropriate changes).
  • Upload audits to designated insurance provider's request. (cc: COO, QA Director, Billing)
  • Order supplies for delivery to all area clinics.
  • Assist in finding errors in EMR, reporting to the Case Manager/BCBA for designated clinic and follow up on corrections.
  • Updates sent to QA Director weekly. To include reporting daily numbers and approved hours per clinic, expiring authorization follow ups, and new (increased) authorized hours and reference to clinic numbers.
  • Request maintenance needs for clinics as appropriate.
  • Monitor emergency drills quarterly, check fire extinguishers monthly, check/balance of submission
  • Review concurrent billing, address all "double” billing issues, email QAD to delete billing as necessary.
  • Create new profiles in EMR, submit for new authorizations and reauthorizations. Follow up every 6 months for new authorizations. Ensure timely submission, 90/60/30 days prior to TP and authorization expiration.
  • Send QAD Client grid updates as appropriate for authorization expiration (Outreach-> BCBA-> QAC)
  • Communicate with BCBA when a new authorization is uploaded in EMR.
  • Ensure all new authorizations are submitted for insurance approval and are uploaded and coded correctly within EMR.
  • Quarterly reviews of client records, clinic compliance to stay CARF compliant.
  • Online ordering of supplies for clinics

Salary - $36,000 per year

Requirements:

  • High School Diploma or GED required. Some college is a plus.
  • TEAM PLAYER
  • Excellent organization skills and time management skills.
  • Attention to detail and good eye for finding errors.
  • Excellent communication skills with internal staff members as well as with outside vendors.

Benefits:

  • 401(k) with a 4% match
  • Medical, Dental, and Vision insurance with a generous portion that is employer paid
  • $50k Life insurance, employer paid
  • 3 weeks of paid time off
  • 8 paid holidays

Schedule:

  • 8 hour shift Monday - Friday 8:00 am -4:30 pm

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